A change in a beneficiary's Medicare premium payment from year to year depends on various factors, among them: when the person joined Medicare; if the person does not currently have the Part B premium withheld from the Social Security benefits; if there is not a Social Security cost-of-living adjustment (COLA); the person's income level; and general premium increases.
Participants new to Social Security and Medicare will pay the standard 2013 Part B premium of $104.90 (because they did not have the premium withheld from their Social Security benefits in the previous year and it would not lower their benefit).
The standard Part B premium for 2013 is $104.90. For 2013, most people pay a Part B premium of $99.90 per month if they had the premium deducted from their Social Security checks. The premium is higher for individuals with incomes above $85,000 per year and for married couples with incomes above $170,000 per year.
Beneficiaries filing an individual tax return pay a monthly premium of $146.90 if their income is $85,001-$107,000; $209.80 if their income is 107,001-160,000; $272.70 if their income is $160,001-$214,000; $335.70 if their income is above $214,000.
For beneficiaries filing jointly, the 2013 Part B monthly premium is $146.90 if their income is $170,001-$214,000; $209.80 if their income is $214,001-$320,000; $272.70 if their income is $320,001-$428,000; and $335.70 if their income is above $428,000.
Beneficiaries who are married but file separate tax returns pay $272.70 if their income is $85,001-$129,000; and $335.70 if their income is above $129,000.
Medicare premiums and coinsurance rates come out each fall and go into effect the following January.
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